2017-08-11T14:27:00-05:00 2016-12-31 461497033 EKS&H LLLP 8181 E TUFTS AVENUE SUITE 600 DENVER CO 802372521 990 2016-01-01 841085196 DENVER HEALTH AND HOSPITALS FOUNDATION DENV 3036022971 655 BROADWAY NO 750 DENVER CO 80203 PAULA HERZMARK EXECUTIVE DIRECTOR 3036022971 2017-08-08 1 DORI J EGGETT P00645252 3037409400 208.42.238.132 2017-08-11 14:25:16 MD P 3219C133BAC39E5E3E55A8AEB9925CDB4F54441C C006B3CC34B50687FBB9CB3907E5A42D7A8F06FA 2016 2021-01-29 14:40:06Z PAULA HERZMARK 655 BROADWAY STE 750 DENVER CO 80203 8485165 0 X WWW.DENVERHEALTHFOUNDATION.ORG X 1988 CO SEE SCHEDULE OSUPPORT THE WORK OF THE DENVER HEALTH AND HOSPITAL AUTHORITY IN ITS MISSION TO SUSTAIN AND ADVANCE THE HEALTH AND WELL BEING OF DENVER, COLORADO AND THE ROCKY MOUNTAIN REGION. 23 19 12 0 0 0 7165383 6855419 0 0 216840 393279 0 0 7382223 7248698 4709741 4963661 0 0 315027 69805 0 0 89570 1178119 1313582 6202887 6347048 1179336 901650 20801122 21003574 2275802 1887373 18525320 19116201 SUPPORT THE WORK OF THE DENVER HEALTH AND HOSPITAL AUTHORITY IN ITS MISSION TO SUSTAIN AND ADVANCE THE HEALTH AND WELL BEING OF DENVER, COLORADO AND THE ROCKY MOUNTAIN REGION. 0 0 5554374 4963661 SIGNIFICANT AREAS OF SUPPORT INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING AREAS: TRAUMA PREVENTION AND CARE: $83,763; WOMEN, CHILDREN, AND ADOLESCENTS:$63,633; COMMUNITY HEALTH SERVICES: $1,622,267; BEHAVIORAL HEALTH: $187,260; VOLUNTEER AUXILIARY: $590,713; EMERGENCY MEDICINE: $110,593; MEDICINE: $1,218,680; ORTHOPEDICS: $29,936; POISON CENTER: $32,632; MANAGED CARE: $54,787; NURSING: $6,200; PUBLIC HEALTH: $324,940; PATIENT ASSITANCE: $221,832; OTHER: $1,007,138TOTAL EXPENSES: $5,554,374 5554374 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 10 0 1 12 1 0 0 0 0 0 1 1 0 0 0 0 X 23 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X CHELSEA HELMKAMP CO DHHA 3036027045 655 BROADWAY SUITE 1000 MC 1925 DENVER CO 80203 STEPHEN B CLARK TREASURER 1.00 X X 0 0 0 PAT CORTEZ MEMBER 1.00 X 0 0 0 WALTER DEHAVEN MEMBER 1.00 X 0 0 0 STEVE DEMBY MEMBER 1.00 X 0 0 0 JEFF GELLER MEMBER 1.00 X 0 0 0 MIKE FERRUFINO MEMBER 1.00 X 0 0 0 ART GONZALEZ MEMBER/CEO DHHA 40.00 X 0 1250154 38998 BILL BURHAM MD MEMBER / DHHA INTERIM CEO 1.00 X 0 298848 29211 JOSH HANFLING DHF CHAIR 1.00 X 0 0 0 STERLING CROWE MEMBER 1.00 X 0 0 0 KEVIN KAUFFMAN MEMBER 1.00 X 0 0 0 KATHLEEN KLUGMAN MEMBER 1.00 X 0 0 0 DAVID MCREYNOLDS MEMBER 1.00 X 0 0 0 ELIZABETH PEROS MEMBER 1.00 X 0 0 0 ANDREA POLLACK MEMBER 1.00 X 0 0 0 MICHAEL POLLAK CHAIR 1.00 X X 0 0 0 CHRISTINE MONFORT MEMBER 1.00 X 0 0 0 KEVIN G QUINN SECRETARY 1.00 X X 0 0 0 FRANKLIN RIOS MEMBER 1.00 X 0 0 0 MAJA ROSENQUIST VICE CHAIR 1.00 X X 0 0 0 DAN SCHERER MEMBER 1.00 X 0 0 0 CHARLIE WALLING MEMBER 1.00 X 0 0 0 WELLINGTON WEBB MEMBER 1.00 X 0 0 0 PAULA HERZMARK EXECUTIVE DIRECTOR 40.00 X 0 284100 55314 0 1833102 123523 0 0 1 0 HYATT REGENCY DENVER CO CONVENTION CEN 650 15TH ST DENVER CO 80202 HOSPITALITY SERVICES 310736 CREATIE ARTISTS AGENCY 2000 AVENUE OF THE STARS LOS ANGELES CA 90067 GALA ENTERTAINMENT 300000 JEROLD PANAS LINZY & PARTNERS 500 NORTH MICHIGAN AVE CHICAGO IL 60611 CONSULTING 141360 3 529347 6326072 927764 6855419 147504 147504 245775 0 245775 245775 245775 1236467 529347 1236467 0 7248698 0 0 393279 4708559 4708559 255102 255102 69805 34015 35790 65226 65226 509120 504547 4573 25 25 55627 46545 9082 13 13 5832 5832 5454 5454 50815 10703 40112 VOLUNTEER AUXILIARY 590713 590713 MISCELLANEOUS MG&A 19993 19993 MEMBERSHIP FEES 8977 8977 DONOR RECOGNITION 1787 1787 6347048 5554374 703104 89570 292379 96074 3790992 3188858 2835825 2172537 91831 317457 149386 24725 13640709 15203923 20801122 21003574 27600 379988 160646 8606 1272254 949936 815302 548843 2275802 1887373 X 406281 -74511 13304202 14375875 4814837 4814837 18525320 19116201 20801122 21003574 X 901650 164231 -475000 X 0 1 X 1 0 X 12789255 6754033 6167996 7165383 6855419 39732086 12789255 6754033 6167996 7165383 6855419 39732086 3630881 36101205 50438 21154 76517 15362 147504 310975 40043061 0.90160 0.89470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6510675 319030 365439 6464266 6972973 500 -104878 357920 6510675 6922266 200 397686 347179 6972973 6422791 7122 822615 304255 26007 6922266 5926702 808708 288163 24456 6422791 0.74480 0.25520 1 0 0 ASSETS HELD BY DENVER FOUNDATION 9668413 SHORT TERM INVESTMENTS 5535510 15203923 DUE TO DENVER HEALTH AND HOSPITAL AUTHORITY 548843 548843 X 8435895 164231 1088192 1252423 7183472 65226 65226 7248698 7845014 1088192 475000 1563192 6281822 65226 65226 6347048 PART V, LINE 4: THE FOUNDATION'S ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING TO SUPPORT THE DENVER HEALTH AND HOSPITAL AUTHORITY'S ROCKY MOUNTAIN POISON AND DRUG CENTER, COMMUNITY HEALTH SERVICES, TRAUMA PREVENTION AND CARE, AND VULNERABLE POPULATIONS. PART X, LINE 2: MANAGEMENT IS REQUIRED TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND TO RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT PROBABLY WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND THAT NONE WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IS THE FINANCIAL STATEMENTS. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS WOULD BE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSES. NO INTEREST AND PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2016. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNRECEIVABLE PLEDGES 475,000. GALA 1564088 419147 1144941 366453 50682 499366 228440 HOT ROCKS 146710 90141 56569 8515 2098 3300 42656 1 55016 20059 34957 400 4000 30557 1765814 529347 1236467 374968 53180 506666 301653 1236467 0 1 DENVER HEALTH & HOSPITAL AUTHORITY 777 BANNOCK STREET DENVER CO 80204 841343242 HOSPITAL AUTH 4708559 RESEARCH AND OPERATING ASSISTANCE 1 0 PATIENT ASSISTANCE 4800 255102 PART I, LINE 2: AREAS WITHIN THE HOSPITAL PREPARE FORMAL REQUESTS FOR REIMBURSEMENT OF FUND AND/OR GRANT EXPENSES TO THE DHF ACCOUNTANT. THESE REQUESTS FOR PAYMENT ARE REVIEWED AND APPROVED BY THE FOUNDATION EXECUTIVE DIRECTOR AND THE DHHA CONTROLLER. MONITORING OF THESE FUNDS AND GRANTS IS PERFORMED BY THE DHF ACCOUNTANT, EXECUTIVE DIRECTOR, AND DHHA CONTROLLER IN ORDER TO ENSURE DONOR WISHES ARE FOLLOWED. DEPARTMENTS SUBMIT PATIENT ASSISTANCE FUND REQUESTS TO DIRECTOR OF VOLUNTEER SERVICES. PATIENTS ARE ELIGIBLE FOR ASSISTANCE ONE TIME DURING A CALENDAR YEAR. ASSISTANCE FROM THE PATIENT ASSISTANCE FUND MUST SUPPORT THEIR HEALTH STATUS, ENHANCE AND SUPPORT THEIR SELF-SUFFICIENCY, OR MINIMIZES THEIR HOSPITAL STAY. REQUESTS ARE APPROVED BY THE DIRECTOR OF VOLUNTEER SERVICES AND THE DIRECTOR OF THE PATIENT EXPERIENCE. CHECKS ARE CUT BY THE DIRECTOR OF VOLUNTEER SERVICES. X X X 0 0 0 0 0 0 0 0 0 ART GONZALEZ MEMBER/CEO DHHA 0 1040470 0 209684 0 0 0 24000 0 14998 0 1289152 0 0 BILL BURHAM MD MEMBER / DHHA INTERIM CEO 0 244512 0 54336 0 0 0 12078 0 17133 0 328059 0 0 PAULA HERZMARK EXECUTIVE DIRECTOR 0 240437 0 43663 0 0 0 36000 0 19314 0 339414 0 0 X 554850 FMV X 6 310164 FMV X EVENT IN-KIND 30 62750 FMV 0 1 1 PART I, LINE 32B: DENVER HEALTH FOUNDATION USES THIRD PARTY BROKERS TO SELL ALL STOCK DONATIONS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO BEING FILED. THE 990 IS REVIEWED WITH THE FOUNDATION'S AUDITORS AND TAX RETURN PREPARER, ALONG WITH THE EXECUTIVE DIRECTOR, THE CFO AND THE ASSISTANT CFO TO FIELD ANY QUESTIONS. IN ADDITION, A PDF COPY IS SENT TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE ASKED AT EACH MONTHLY MEETING WHETHER A CONFLICT OF INTEREST HAS ARISEN, WITH ANY CHANGES DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE DENVER HEALTH AND HOSPITAL AUTHORITY (DHHA), A RELATED ORGANIZATION, EMPLOYS OR DONATES ALL PERSONNEL UTILIZED BY THE FOUNDATION. DHHA CONDUCTS A MARKET SURVEY OF ALL POSITIONS ANNUALLY, AND RECOMMENDATIONS REGARDING COMPENSATION ARE MADE BY DHHA'S COMPENSATION COMMITTEE TO THE DHHA BOARD OF DIRECTORS, WHO FORMALLY ADOPT THE FINAL COMPENSATION EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 IF REQUESTED, DOCUMENTS CAN BE E-MAILED, FAXED, OR MAILED TO THE REQUESTOR. FORM 990, PART XI, LINE 9: UNRECEIVABLE PLEDGES -475,000. DENVER HEALTH & HOSPITAL AUTHORITY 777 BANNOCK STREET DENVER CO 80204 841343242 HOSPITAL CO N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0